Memorial Hermann Northeast Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Memorial Hermann Northeast, Humble, TX in 2024, from traditional Medicare claims. Back to the Memorial Hermann Northeast profile, with quality ratings, finances and negotiated rates.
1,549
Medicare inpatient discharges
In 42 published DRGs
1.80
Case mix index
IPPS FY 2027
6%
Surgical stays
84%
Stays with complications
In DRGs with a CC or MCC
1,014
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases466 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 359 | $83,122 | $14,825 | $19,866 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 53 | $50,813 | $8,177 | $12,144 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $147,814 | $33,975 | $35,327 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $83,118 | $15,227 | $19,865 | 2.04 |
Circulatory system326 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 152 | $55,121 | $11,243 | $13,174 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 77 | $65,478 | $12,777 | $15,649 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $71,288 | $15,086 | $17,038 | 2.09 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 18 | $53,109 | $6,889 | $12,693 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $64,162 | $15,299 | $15,335 | 2.16 |
| Hypertension with MCCMS-DRG 304, medical | 15 | $40,003 | $10,311 | $9,561 | 1.15 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $48,801 | $6,927 | $11,663 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $56,252 | $8,530 | $13,444 | 1.20 |
Respiratory system247 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 68 | $45,704 | $10,254 | $10,923 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 53 | $54,387 | $10,861 | $12,998 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $58,527 | $12,847 | $13,988 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $62,101 | $11,606 | $14,842 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $121,791 | $18,125 | $29,108 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $44,341 | $9,436 | $10,597 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $34,244 | $8,840 | $8,184 | 0.96 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $47,415 | $6,132 | $11,332 | 0.82 |
Kidney and urinary tract189 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 45 | $55,402 | $12,129 | $13,241 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $49,832 | $10,206 | $11,910 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 44 | $66,993 | $12,989 | $16,011 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 30 | $46,965 | $7,718 | $11,225 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $39,801 | $7,313 | $9,512 | 0.81 |
Digestive system127 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $45,263 | $7,642 | $10,818 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $85,171 | $14,034 | $20,356 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $42,793 | $6,894 | $10,228 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $205,101 | $33,972 | $49,019 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $60,888 | $13,341 | $14,552 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $32,707 | $5,908 | $7,817 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $55,107 | $10,775 | $13,171 | 1.45 |
Endocrine, nutritional and metabolic68 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 51 | $59,335 | $10,357 | $14,181 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $34,850 | $7,485 | $8,329 | 0.78 |
Nervous system45 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $56,884 | $7,546 | $13,595 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 14 | $89,837 | $15,738 | $21,471 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 14 | $41,326 | $7,505 | $9,877 | 0.91 |
Blood and immune system39 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 20 | $49,547 | $11,473 | $11,842 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 19 | $38,183 | $8,288 | $9,126 | 0.90 |
Other16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 16 | $170,098 | $35,528 | $40,653 | 4.74 |
Musculoskeletal system and connective tissue14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 14 | $91,459 | $15,972 | $21,859 | 2.07 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $36,731 | $7,684 | $8,779 | 0.88 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 359 | 324 | $31,680 | $1,994 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 91 | 90 | $37,690 | $4,262 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 90 | 85 | $15,203 | $1,179 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 84 | 84 | $23,508 | $2,144 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 58 | 55 | $25,396 | $2,270 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 48 | 39 | $16,700 | $1,387 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 36 | 34 | $58,880 | $8,125 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 35 | 32 | $19,744 | $1,917 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 29 | 28 | $33,917 | $3,625 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 27 | 27 | $25,283 | $7,947 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 25 | 22 | $28,529 | $2,576 | $2,629 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 21 | 21 | $138,683 | $20,325 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 20 | $24,957 | $1,505 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 19 | 19 | $56,118 | $7,491 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $15,972 | $1,183 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $34,068 | $2,556 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 15 | 15 | $26,208 | $2,152 | $2,176 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 14 | 14 | $66,823 | $10,555 | $10,772 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $47,490 | $4,818 | $4,982 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.